Non-serious adverse events

Administrative data
Descripción

Administrative data

Alias
UMLS CUI-1
C1320722
Subject number
Descripción

Subject number

Tipo de datos

text

Alias
UMLS CUI [1]
C2348585
Workbook number
Descripción

Workbook number

Tipo de datos

integer

Alias
UMLS CUI [1]
C2986015
Date of non-serious adverse event
Descripción

Date of non-serious adverse event

Tipo de datos

date

Alias
UMLS CUI [1,1]
C1518404
UMLS CUI [1,2]
C0011008
Case number
Descripción

Case number

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C1698493
UMLS CUI [1,2]
C0600091
NON-SERIOUS ADVERSE EVENTS
Descripción

NON-SERIOUS ADVERSE EVENTS

Alias
UMLS CUI-1
C1518404
Has any non-serious adverse event leading to a non-administration of the vaccine or a visit/contact not done or a withdrawn?
Descripción

If you tick yes, please complete the following items.

Tipo de datos

boolean

Alias
UMLS CUI [1]
C1518404
UMLS CUI [2,1]
C1533734
UMLS CUI [2,2]
C0392360
UMLS CUI [2,3]
C1272696
UMLS CUI [2,4]
C0042210
UMLS CUI [3,1]
C0545082
UMLS CUI [3,2]
C1272696
AE Number
Descripción

AE Number

Alias
UMLS CUI-1
C1518404
UMLS CUI-2
C0237753
AE Number
Descripción

AE Number

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C1518404
UMLS CUI [1,2]
C0237753
Description of AE
Descripción

Description of AE

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0678257
UMLS CUI [1,2]
C1518404
Administration sites
Descripción

Administration sites

Tipo de datos

integer

Alias
UMLS CUI [1]
C2368628
Non-serious adverse event: For GSK
Descripción

Non-serious adverse event: For GSK

Alias
UMLS CUI-1
C1518404
AE Number
Descripción

AE Number

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C1518404
UMLS CUI [1,2]
C0237753
Date Started
Descripción

Date Started

Tipo de datos

date

Alias
UMLS CUI [1]
C0808070
Date started: during immediate post-vaccination period (30 minutes)
Descripción

Date started: post-vaccination periode

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0808070
UMLS CUI [1,2]
C0231291
Date Stopped
Descripción

Date Stopped

Tipo de datos

date

Alias
UMLS CUI [1]
C0806020
Maximum Intensity
Descripción

Maximum Intensity

Tipo de datos

integer

Alias
UMLS CUI [1]
C0518690
Relationship to investigational products: Is there a reasonable possibility that the AE may have been caused by the investigational product?
Descripción

Relationship to investigational products

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C1518404
UMLS CUI [1,2]
C0085978
UMLS CUI [1,3]
C0304229
Outcome of AE
Descripción

Outcome of AE

Tipo de datos

integer

Alias
UMLS CUI [1,1]
C1518404
UMLS CUI [1,2]
C1624730
Medically attended visit
Descripción

If yes please specify type in following item.

Tipo de datos

boolean

Alias
UMLS CUI [1,1]
C0545082
UMLS CUI [1,2]
C1386497
Type of medically attended visit
Descripción

Type of medically attended visit

Tipo de datos

text

Alias
UMLS CUI [1,1]
C0545082
UMLS CUI [1,2]
C1386497
UMLS CUI [1,3]
C0332307

Similar models

Non-serious adverse events

Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Administrative data
C1320722 (UMLS CUI-1)
Subject number
Item
Subject number
text
C2348585 (UMLS CUI [1])
Item
Workbook number
integer
C2986015 (UMLS CUI [1])
Code List
Workbook number
CL Item
workbook 1 (1)
CL Item
workbook 2 (2)
CL Item
workbook 3 (3)
Date of non-serious adverse event
Item
Date of non-serious adverse event
date
C1518404 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Case number
Item
Case number
integer
C1698493 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Item Group
NON-SERIOUS ADVERSE EVENTS
C1518404 (UMLS CUI-1)
Non-serious adverse event leading to non-administration of vaccine, visit/contact not done
Item
Has any non-serious adverse event leading to a non-administration of the vaccine or a visit/contact not done or a withdrawn?
boolean
C1518404 (UMLS CUI [1])
C1533734 (UMLS CUI [2,1])
C0392360 (UMLS CUI [2,2])
C1272696 (UMLS CUI [2,3])
C0042210 (UMLS CUI [2,4])
C0545082 (UMLS CUI [3,1])
C1272696 (UMLS CUI [3,2])
Item Group
AE Number
C1518404 (UMLS CUI-1)
C0237753 (UMLS CUI-2)
Item
AE Number
integer
C1518404 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
Code List
AE Number
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
CL Item
4 (4)
Description of AE
Item
Description of AE
text
C0678257 (UMLS CUI [1,1])
C1518404 (UMLS CUI [1,2])
Item
Administration sites
integer
C2368628 (UMLS CUI [1])
Code List
Administration sites
CL Item
10Pn-PD-DiT vaccine / HBV Vaccine (1)
CL Item
10Pn-PD-DiT vaccine / HAV Vaccine (2)
CL Item
DTPa-IPV/Hib vaccine / Infanrix Hexa (3)
CL Item
Non-administration (4)
Item Group
Non-serious adverse event: For GSK
C1518404 (UMLS CUI-1)
Item
AE Number
integer
C1518404 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
Code List
AE Number
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
CL Item
4 (4)
Date Started
Item
Date Started
date
C0808070 (UMLS CUI [1])
Date started: post-vaccination periode
Item
Date started: during immediate post-vaccination period (30 minutes)
boolean
C0808070 (UMLS CUI [1,1])
C0231291 (UMLS CUI [1,2])
Date Stopped
Item
date
C0806020 (UMLS CUI [1])
Item
Maximum Intensity
integer
C0518690 (UMLS CUI [1])
Code List
Maximum Intensity
CL Item
Mild (1)
CL Item
Moderate (2)
CL Item
Severe (3)
Relationship to investigational products
Item
Relationship to investigational products: Is there a reasonable possibility that the AE may have been caused by the investigational product?
boolean
C1518404 (UMLS CUI [1,1])
C0085978 (UMLS CUI [1,2])
C0304229 (UMLS CUI [1,3])
Item
Outcome of AE
integer
C1518404 (UMLS CUI [1,1])
C1624730 (UMLS CUI [1,2])
Code List
Outcome of AE
CL Item
Recovered / resolved (1)
CL Item
Recovering / resolving (2)
CL Item
Not recovered / not resolved (3)
CL Item
Recovered with sequelae / resolved with sequelae (4)
Medically attended visit
Item
Medically attended visit
boolean
C0545082 (UMLS CUI [1,1])
C1386497 (UMLS CUI [1,2])
Item
Type of medically attended visit
text
C0545082 (UMLS CUI [1,1])
C1386497 (UMLS CUI [1,2])
C0332307 (UMLS CUI [1,3])
Code List
Type of medically attended visit
CL Item
Hospitalisation (HO)
CL Item
Emergency Room (ER)
CL Item
Medical Personnel (MD)